Clinic At Samsons | |
3129 Kingsley Drive Unit 610 Pearland TX 77584 | |
(832) 850-7162 | |
(281) 946-8466 |
Full Name | Clinic At Samsons |
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Speciality | Clinic/Center |
Location | 3129 Kingsley Drive, Pearland, Texas |
Authorized Official Name and Position | Stella Ada-ihuoma Ndukwe (PRESIDENT) |
Authorized Official Contact | 8328507162 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clinic At Samsons 17514 Endel Way Richmond TX 77407-2762 Ph: (713) 459-9892 | Clinic At Samsons 3129 Kingsley Drive Unit 610 Pearland TX 77584 Ph: (832) 850-7162 |
NPI Number | 1265800940 |
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Provider Enumeration Date | 09/11/2015 |
Last Update Date | 05/28/2021 |
Medicare PECOS PAC ID | 8921308495 |
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Medicare Enrollment ID | O20151207000069 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265800940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Stella Ndukwe |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811286941 PECOS PAC ID: 9133148372 Enrollment ID: I20131214000061 |
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